期刊
JOURNAL OF OBSTETRICS AND GYNAECOLOGY
卷 28, 期 4, 页码 394-397出版社
INFORMA HEALTHCARE
DOI: 10.1080/01443610802091768
关键词
caesarean section; obesity; maternal age
A 2-phase study assessing the impact of obesity and increasing maternal age on caesarean section rates was performed. Phase 1 was retrospective and involved comparing caesarean section rates in spontaneously labouring nullipara and spontaneously labouring nullipara weighing 60-80kg and aged 20-35 (standard nullipara), delivering between 1992 and 2006. In the 15 years studied there was a rise in the caesarean section rate from 6.5% to 19.0%, although the increase was less marked in the standard nullipara (4.8-15.5%). Phase 2 was prospective and involved collecting delivery data of singleton cephalic nullipara spontaneously labouring at term. The data of 126 women was collected of whom 99 were non-obese and 27 were obese. Statistical analysis compared the delivery outcomes between the two groups and showed that obese women were 5.82 times more likely to have a caesarean section compared with non-obese women. This finding was highly statistically significant (p=0.005).
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